Do you feel there is a role for triple-phase budesonide in the management of patients with celiac disease who refuse to follow a gluten free diet?

How would you approach counseling the patient in this situation?

Answer from: at Academic Institution

I do not believe it does. Budesonide is useful for acute gluten exposures and type 1 RCD but will not correct the inflammatory cascade associated with chronic gluten exposure and has significant side effects with long term use.

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at Ralph H. Johnson Veterans Affairs Medical Center
Completely agree with above re: sprue. However, I ...

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Do you feel there is a role for triple-phase budesonide in the management of patients with celiac disease who refuse to follow a gluten free diet?

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